Skip to content

HRSA Health Resources & Services Administration

Table 6A: Selected Diagnoses and Services Rendered

Massachusetts Data

38 Awardees

Line Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy (a) Number of Patients with Diagnosis (b) Visits per Patient
Selected Infectious and Parasitic Diseases
1-2. Symptomatic/Asymptomatic human immunodeficiency virus (HIV) B20, B97.35, O98.7-, Z21 26,355 6,724 3.92
3. Tuberculosis A15- through A19-, O98.01 449 253 1.77
4. Sexually transmitted infections A50- through A64- (exclude A63.0) 12,290 8,204 1.50
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, O98.4- 12,195 5,757 2.12
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 24,005 9,916 2.42
Selected Diseases of the Respiratory System
5. Asthma J45- 81,290 44,113 1.84
6. Chronic lower respiratory diseases J40- through J44-, J47- 41,839 18,324 2.28
Selected Other Medical Conditions
7. Abnormal breast findings, female C50.01-, C50.11-, C50.21-, C50.31-, C50.41-, C50.51-, C50.61-, C50.81-, C50.91-, C79.81, D05-, D48.6-, D49.3-, N60-, N63-, R92- 13,887 9,710 1.43
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 13,849 9,484 1.46
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 258,565 68,305 3.79
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 65,115 26,675 2.44
11. Hypertension I10- through I16- 372,864 134,472 2.77
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 31,789 24,278 1.31
13. Dehydration E86- 1,179 1,079 1.09
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69- 467 302 1.55
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 288,848 173,652 1.66
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders H65- through H69- 20,805 13,437 1.55
16. Selected perinatal/neonatal medical conditions A33-, P19-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92- , P96.81), R78.81, R78.89 4,240 2,622 1.62
17. Lack of expected normal physiological development (such as delayed milestone, failure to gain weight, failure to thrive); nutritional deficiencies in children only. Does not include sexual or mental development. E40- through E46-, E50- through E63-, P92-, R62- (exclude R62.7), R63.3 15,130 10,029 1.51
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders F10-, G62.1, O99.31 69,451 18,766 3.70
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 213,333 29,726 7.18
19a. Tobacco use disorder F17-, O99.33 66,014 33,403 1.98
20a. Depression and other mood disorders F30- through F39- 351,978 88,404 3.98
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 315,725 83,962 3.76
20c. Attention deficit and disruptive behavior disorders F90- through F91- 67,612 17,278 3.91
20d. Other mental disorders, excluding drug or alcohol dependence F01- through F09- (exclude F06.4), F20- through F29-, F43- through F48- (exclude F43.0- and F43.1-), F50- through F99- (exclude F55-, F84.2, F90-, F91-, F93.0, F98-), O99.34, R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 188,910 64,663 2.92
Line Service Category Applicable ICD-10-CM Code or CPT4/II Code Number of Visits (a) Number of Patients (b) Visits per Patient
Selected Diagnostic Tests/Screening/Preventive Services
21. HIV test CPT-4: 86689, 86701 through 86703, 87389 through 87391, 87534 through 87539, 87806 106,746 83,855 1.27
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 58,781 45,958 1.28
21b. Hepatitis C test CPT-4: 86803, 86804, 87520 through 87522 65,730 55,486 1.18
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR ICD-10: Z12.31 21,555 19,324 1.12
23. Pap test CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 OR ICD-10: Z01.41-, Z01.42, Z12.4(exclude Z01.411 and Z01.419) 52,744 50,094 1.05
24. Selected immunizations: hepatitis A; haemophilus influenzae B (HiB); pneumococcal, diphtheria, tetanus, pertussis (DTaP) (DTP) (DT); mumps, measles, rubella (MMR); poliovirus; varicella; hepatitis B CPT-4: 90632, 90633, 90634, 90636, 90643, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90696, 90697, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90718, 90720, 90721, 90723, 90730, 90731, 90732, 90740, 90743, 90744, 90745, 90746, 90747, 90748 190,488 143,246 1.33
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90749, 90756 216,405 199,402 1.09
25. Contraceptive management ICD-10: Z30- 78,085 46,497 1.68
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 131,506 83,756 1.57
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88 CPT-4: 83655 21,594 19,496 1.11
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409 HCPCS: G0396, G0397, H0050 75,607 52,139 1.45
26c. Smoke and tobacco use cessation counseling CPT4: 99406, 99407 OR HCPCS: S9075 OR CPTII: 4000F, 4001F, 4004F 22,799 10,605 2.15
26d. Comprehensive and intermediate eye exams CPT4: 92002, 92004, 92012, 92014 90,638 84,821 1.07
Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b) Visits per Patient
Selected Dental Services
27. Emergency services ADA: D9110 72,880 54,722 1.33
28. Oral exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 174,589 142,271 1.23
29. Prophylaxis–adult or child ADA: D1110, D1120 165,543 129,506 1.28
30. Sealants ADA: D1351 8,802 7,656 1.15
31. Fluoride treatment–adult or child ADA: D1206, D1208 CPT-4: 99188 50,633 37,605 1.35
32. Restorative services ADA: D21xx through D29xx 140,029 69,579 2.01
33. Oral surgery (extractions and other surgical procedures) ADA: D7xxx 35,308 27,071 1.30
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 54,406 26,893 2.02

Source of codes:

Note: “X” in a code denotes any number including the absence of a number in that place.
“–” (Dashes) in a code indicate that additional characters are required.
ICD­10­CM codes all have at least four digits. These codes are not intended to reflect if a code is billable or not. Instead they are used to point out that other codes in the series are to be considered.